| NPI | 1124750815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012832A) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 163W00000X Registered Nurse (Licence: IN 28202615A) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-09-05 |